Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Home Health Agency Survey and Deficiencies Report, Home Health Functional Assessment Instrument and Supporting Regulations in 42 CFR 488.26 and 442.30 Migrated 24150 3864 0 Form CMS-1515
Form CMS-1572
Total burden requested under this ICR: 24150 3864 0  
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